scholarly journals “Cascades, torrents & drowning” in information: seeking help in the contemporary general practitioner practice in the UK

2016 ◽  
Vol 24 (5) ◽  
pp. 954-967 ◽  
Author(s):  
Debbie Holley ◽  
Patricia Santos ◽  
John Cook ◽  
Micky Kerr
2021 ◽  
pp. 1357633X2110228
Author(s):  
Centaine L Snoswell ◽  
Anthony C Smith ◽  
Matthew Page ◽  
Liam J Caffery

Introduction Telehealth has been shown to improve access to care, reduce personal expenses and reduce the need for travel. Despite these benefits, patients may be less inclined to seek a telehealth service, if they consider it inferior to an in-person encounter. The aims of this study were to identify patient preferences for attributes of a healthcare service and to quantify the value of these attributes. Methods We surveyed patients who had taken an outpatient telehealth consult in the previous year using a survey that included a discrete choice experiment. We investigated patient preferences for attributes of healthcare delivery and their willingness to pay for out-of-pocket costs. Results Patients ( n = 62) preferred to have a consultation, regardless of type, than no consultation at all. Patients preferred healthcare services with lower out-of-pocket costs, higher levels of perceived benefit and less time away from usual activities ( p < 0.008). Most patients preferred specialist care over in-person general practitioner care. Their order of preference to obtain specialist care was a videoconsultation into the patient’s local general practitioner practice or hospital ( p < 0.003), a videoconsultation into the home, and finally travelling for in-person appointment. Patients were willing to pay out-of-pocket costs for attributes they valued: to be seen by a specialist over videoconference ($129) and to reduce time away from usual activities ($160). Conclusion Patients value specialist care, lower out-of-pocket costs and less time away from usual activities. Telehealth is more likely than in-person care to cater to these preferences in many instances.


2016 ◽  
Vol 69 (7) ◽  
pp. 655-660 ◽  
Author(s):  
P Hancock ◽  
B J Woodward ◽  
A Muneer ◽  
J C Kirkman-Brown

Post-vasectomy semen analysis (PVSA) is the procedure used to establish whether sperm are present in the semen following a vasectomy. PVSA is presently carried out by a wide variety of individuals, ranging from doctors and nurses in general practitioner (GP) surgeries to specialist scientists in andrology laboratories, with highly variable results.Key recommendations are that: (1) PVSA should take place a minimum of 12 weeks after surgery and after a minimum of 20 ejaculations. (2) Laboratories should routinely examine samples within 4 h of production if assessing for the presence of sperm. If non-motile sperm are observed, further samples must be examined within 1 h of production. (3) Assessment of a single sample is acceptable to confirm vasectomy success if all recommendations and laboratory methodology are met and no sperm are observed. Clearance can then be given. (4) The level for special clearance should be <100 000/mL non-motile sperm. Special clearance cannot be provided if any motile sperm are observed and should only be given after assessment of two samples in full accordance with the methods contained within these guidelines. Surgeons are responsible both preoperatively and postoperatively for the counselling of patients and their partners regarding complications and the possibility of late recanalisation after clearance. These 2016 guidelines replace the 2002 British Andrology Society (BAS) laboratory guidelines and should be regarded as definitive for the UK in the provision of a quality PVSA service, accredited to ISO 15189:2012, as overseen by the United Kingdom Accreditation Service (UKAS).


1997 ◽  
Vol 23 (3) ◽  
pp. 198-201 ◽  
Author(s):  
R.A. Cochrane ◽  
H. Singhal ◽  
I.J. Monypenny ◽  
D.J.T. Webster ◽  
K. Lyons ◽  
...  

2014 ◽  
Vol 14 (3) ◽  
pp. 174-180 ◽  
Author(s):  
Zaki Abbas ◽  
Andrew MacFarlane ◽  
Ayşe Göker

AbstractSmartphones have quickly become a key part of our daily lives. Over 70 percent of people in the UK own such a device and law students are no exception to this far-reaching trend1. The use of these devices has posed some significant questions on the extent of their impact on information seeking behaviour and in relation to information delivery of resources. Zaki Abbas, Andrew MacFarlane and Ayşe Göker, who have recently begun a research project together, seek to not only examine the information seeking behaviours (ISBs) of law students using their Smartphones for academic information retrieval, but also to investigate perspectives from subject law librarians from Higher Education Institutions (HEIs) throughout the UK. There is an impression that students tend to find Smartphones more appealing for their information seeking needs compared to the professional resources and services, such as virtual libraries, which their HEI have already invested in. The result leads to a deep concern from subject librarians that students may be at risk from weakening research skills as well as relying too much on poor information sources not specifically designed to meet their information needs within the academic context5. The authors also suggest that information service providers to be more pro-active in providing information to students through more user-friendly interfaces as well as capitalise on the growing use of the Smartphone as a means to deliver their product4,5,6,15.


2012 ◽  
Vol 41 (2) ◽  
pp. 144-161 ◽  
Author(s):  
Louisa Codjoe ◽  
Majella Byrne ◽  
Matthew Lister ◽  
Philip McGuire ◽  
Lucia Valmaggia

Background:The NICE Schizophrenia guidelines (NICE, 2009, Update) recommend that services should address cultural differences in treatment, expectations and adherence, and clients’ explanatory models of illness should be better understood. Service users from Black African and Black Caribbean communities are overrepresented in psychosis services in the UK, yet there is no literature on how wellness is understood by this group.Aims:This study explored perceptions of wellness in Black African and Black Caribbean individuals with an At Risk Mental State (ARMS) for psychosis.Method:A Q set of potential meanings of wellness was identified from a literature search and interviews with people at risk of developing psychosis. From this, 50 potential definitions were identified; twenty Black African and Black Caribbean ARMS clients ranked these definitions.Results:Following factor analysis of completed Q sorts, six factors emerged that offered insight into perceptions of wellness in this population. These factors included: sense of social purpose explanation, the surviving God's test explanation, the internalization of spirituality explanation, understanding and attribution of symptoms to witchcraft explanation, avoidance and adversity explanation, and seeking help to cope explanation.Conclusions:Although preliminary, differences between the factors suggests that there may be perceptions of wellness specific to these groups that are distinct from the medical view of wellness promoted within early detection services. These differences may potentially impact upon engagement, particularly factors that clients feel may facilitate or aide their recovery. It is suggested that these differences need to be considered as part of the assessment and formulation process.


2017 ◽  
Vol 51 (3) ◽  
pp. 789-800 ◽  
Author(s):  
Susan Wellings ◽  
Biddy Casselden

This article considers findings from Master’s research that investigated the information-seeking behaviours of engineers and scientists in the workplace. The objectives of this research were to establish where engineers and scientists look for information, consider their search preferences and determine the understanding they have of online search engine operation. There is limited current research in these areas looking at engineers and scientists in the workplace. The research was undertaken using a mixed methods research methodology. A survey was conducted with engineers and scientists working in the UK, using an online questionnaire and interviews to obtain quantitative and qualitative data. Due to the small sample size (115: 58 engineers, 57 scientists) this research does not make generalisations about the wider population. The research showed both similarities and differences between engineers’ and scientists’ information-seeking behaviours. The most popular resources used by both engineers and scientists were online search engines, specialist databases and scholar search engines; and the most used sources were from within their own organisation (colleagues and documents). Electronic versions of sources were preferred over print because of their searchability; however, when an item was found it was often printed out to read. Although the main focus of this research was not information literacy it is suggested that there are significant gaps in the understanding of search engine functionality by both engineers and scientists, even though it is the most heavily used resource for information seeking. Whilst this research does not make generalisations about the wider engineer and scientist populations, potential implications for information professionals working with these groups are considered.


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